amym
Guest
Our office utilizes the -59 modifier quite often. I wanted to make sure that we are doing this appropriately as I know that it puts us at risk for audits.
I wanted to know if it is OK to append a -59 modifier for these particular scenarios:
1. 93015 bundled into 99204
2. 93000 bundled into 93015
3. 78452-26 bundled into 99217
4. 93306-26 bundled into 99217
We typically submit a claim for denial and once the claim is denied, we appeal by appending the -59 modifier and supporting medical records.
Is this an appropriate way to handle this or should we just append the modifier without the notes being sent or are we just not doing this correctly?
I wanted to know if it is OK to append a -59 modifier for these particular scenarios:
1. 93015 bundled into 99204
2. 93000 bundled into 93015
3. 78452-26 bundled into 99217
4. 93306-26 bundled into 99217
We typically submit a claim for denial and once the claim is denied, we appeal by appending the -59 modifier and supporting medical records.
Is this an appropriate way to handle this or should we just append the modifier without the notes being sent or are we just not doing this correctly?